Northwestern Medicine Palos Hospital

Commercial Insurance is a type of insurance coverage that pays for medical and surgical expenses that are incurred by the insured. Health insurance is often included in benefit packages through employers. Northwestern Medicine participates with a wide variety of commercial insurance plans to meet the needs of the patient community.

Aetna

Aetna Choice POS
Aetna Choice POS II
Aetna Elect Choice
Aetna EPO
Aetna Health Network Only
Aetna Health Network Option
Aetna HMO
Aetna Illinois Preferred Plan
Aetna Limited Benefits Insurance Plan (PPO)
Aetna Managed Choice POS
Aetna NAP
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Open Choice PPO (including, but not limited to Aetna Signature Administrators® and Open Choice)
Aetna Performance Network
Aetna Premier Care Network
Aetna Premier Care Network Plus
Aetna QPOS
Aetna Savings Plus
Aetna Select
Aetna Student Health
Aetna Traditional Choice
Aetna Voluntary Group Medical Plan (Indemnity Plan)

Beacon Health Options/Beacon Health Strategies

Beechstreet (PHCS)

Blue Cross Blue Shield

Blue Cross Blue Shield – Blue Advantage HMO
Blue Cross Blue Shield - Blue Choice PPO
Blue Cross Blue Shield – Blue Choice Options
Blue Cross Blue Shield – PPO

DuPage Medical Group (DMG) (fka Pronger Smith) (BCBS HMOI Site #082)

BCBS HMOI members of DMG (BCBS HMOI Site #082) with valid PCP referral and/or approval from DMG, as required

Loyola University Medical Group (LUMG) (BCBS HMOI Site #349)

BCBS HMOI members of DMG (BCBS HMOI Site #082) with valid PCP referral and/or approval from DMG, as required

Southland IPA (SIPA) (BCBS HMOI Site #444)

BCBS HMOI members of SIPA (BCBS HMOI Site #444) with valid PCP referral and/or approval from SIPA, as required

Cigna

Cigna – Open Access
Cigna – Open Access Plus
Cigna – Choice Fund Open Access Plus
Cigna – ChoiceCare PPO
Cigna – EPO
Cigna – Global Health Benefits
Cigna – GWH POS Open Access Plus
Cigna – HMO (or POS)
Cigna – HMO (or POS) Open Access
Cigna – Network Open Access
Cigna – Network POS
Cigna - One Health HMO eff 4/1/19
Cigna – POS
Cigna – PPO
Cigna – Shared Administration PPO and OAP
CIGNA Behavioral Health, Inc.

ComPsych – Behavioral Health/Substance Abuse Network

CorVel – Workers' Compensation Program/Network

Coventry Health Care – First Health HMO, PPO and POS

HealthSmart

HealthSmart- PPO
HealthSmart –Workers' Compensation Program/Network

HealthLink PPO and HMO

HFN

HFN – PPO (HFN10)
HFN – Workers' Compensation Program/Network

Humana

Humana – Choice POS
Humana – Choice Care PPO
Humana – EPO
Humana – HMO Premier
Humana – HMO Select
Humana – Illinois Platinum HMO
Humana – National Preferred POS – Open Access
Humana – PPO
Humana – Preferred PPO
Humana Behavioral Health

Magellan

MultiPlan/PHCS

United Healthcare

United Healthcare – All Savers
United Healthcare – Choice
United Healthcare – Choice Plus
United Healthcare – Core
United Healthcare – HMO
United Healthcare – HMO Plus
United Healthcare – Navigate
United Healthcare – Open Access
United Healthcare – Options PPO
United Healthcare – Select Plus
United Healthcare – Select
United Healthcare Affiliates – Participate through UHC PPO
United Behavioral Health – Optum

Health exchanges or health insurance marketplaces were established in accordance with the Affordable Care Act (ACA) of 2010. These marketplaces provide a set of government-regulated and standardized healthcare plans where individuals may purchase health insurance policies, some of which include federal subsidies.

2021 Options

The plans below offer current access to Northwestern Medicine on Get Covered Illinois, the official health insurance marketplace for Illinois for the 2021 calendar year.

  • Blue Choice Preferred PPO
  • Blue Precision HMO
    Please be aware that under Blue Precision HMO at Northwestern Medicine, you are required to have an assigned primary care physician (PCP) affiliated with one of the following Northwestern Medicine sites:
    • 471 (McHenry)
    • 475 (Northwestern Medicine Central DuPage Hospital)
    • 477 (Northwestern Medicine Delnor Hospital)
    • 493 (DeKalb)
  • Cigna Plus With Northwestern Medicine
    An HMO product that requires the selection of a primary care physician at Northwestern Medicine.

For instructions on how to enroll in any of these plans, please call 312.926.7440, TTY 711.

Catastrophic

Bright Health - Catastrophic Plans

Bronze

Blue Cross Blue Shield of Illinois Blue Precision Bronze
Blue Choice Preferred Bronze 201
Blue Choice Preferred Bronze 202
Blue Choice Preferred Bronze 302
Bright Health - Bronze Plans

Silver

Blue Cross Blue Shield of Illinois Blue Precision Silver
Blue Choice Preferred Silver 203
Blue Choice Preferred Silver 303
Bright Health - Silver Plans

Gold

Blue Cross Blue Shield of Illinois Blue Precision Gold
Blue Choice Preferred Gold 204
Bright Health - Gold Plans

All Levels

AmBetter of IL HMO

Government plans are a wide range of plans that include a variety of Medicare and/or Medicaid plans. Northwestern Medicine participates in traditional Medicare and Medicaid as well as Family Health Plans (FHP), Integrated Care Plans (ICP) and Medicare-Medicaid Alignment Initiative (MMAI) plans. FHP, ICP and MMAI plans are often available to individuals who were previously eligible for traditional Medicaid but are now accessing managed Medicaid plans through expansion of the Affordable Care Act or “Obamacare.”

Senior Health Insurance Program at Northwestern Medicine Palos Hospital

Northwestern Medicine Palos Hospital has been at the forefront in assisting Medicare beneficiaries and their families in making informed health insurance decisions. Learn about the Senior Health Insurance Program (SHIP) available to help educate, advocate, counsel and empower people who are eligible for Medicare.

Government & Military Plans

Medicare
Medicaid
Veterans Evaluation Services

Medicare Advantage Plans

Aetna – HMO
Aetna – PPO
Aetna – Open Access HMO
Blue Cross Blue Shield – PPO
Blue Cross Blue Shield – HMO
Humana HMO Gold Plus
Humana PFFS
Humana PPO
Humana Honor PPO (Veterans Plan)
United HealthCare Medicare Advantage PPO
United HealthCare Medicare Advantage
United HealthCare AARP® Medicare Advantage Plan 1 (HMO)
United HealthCare AARP® Medicare Advantage Plan 2 (HMO)
United HealthCare Medicare Advantage Assure
United HealthCare AARP® Medicare Advantage Choice (PPO)
United HealthCare AARP® Medicare Advantage Walgreens (PPO)
United HealthCare AARP® Medicare Advantage Patriot (PPO)
UnitedHealthcare Nursing Home Plan 1 (HMO/POS-SNP)
UnitedHealthcare Nursing Home Plan 2 (PPO-SNP)
Bright Advantage (HMO)
Bright Advantage Assist (HMO)
Bright Advantage Choice (PPO)
Bright Advantage Choice Plus (PPO)
Longevity Health Plan
Sunrise Advantage Plan- Sunrise Advantage Community Plan (HMO)
Sunrise Advantage Plan- Sunrise Advantage Plan (HMO I-SNP)
WellCare Edge (HMO)
WellCare Essential (HMO)
WellCare Essential (HMO-POS)
WellCare Exclusive (HMO)
WellCare Exclusive (HMO-POS)

Medicare/Medicaid Alignment Initiative Agreements (MMAI)

Aetna Better Health Premier Plan
Blue Cross Blue Shield
Humana
Meridian Complete

Medicaid Managed Care Programs/HealthChoice Illinois

Aetna Better Health
Blue Cross Blue Shield
Meridian
YouthCare IL